LeMone, Burke, Bauldoff, Medical-Surgical Nursing 6th Edition Test Bank / Test Bank For
Medical-Surgical Nursing: Clinical Reasoning In Patient Care (6th Edition) (Medical
Surgical Nursing – Lemone) 6th Edition (all chapters 1- 50 complete) with rationale
Course
TEST BANK FOR MEDICAL SURGICAL NURSING
(MEDICALSURGICALNURSING)
1. The primary goal of medical-surgical nursing is to:
A. Perform surgical procedures independently.
B. Diagnose all diseases.
C. Promote, restore, and maintain optimal health while preventing complications.
D. Prescribe medications.
Answer: C
Rationale: Medical-surgical nurses focus on comprehensive patient care, health promotion,
disease management, and prevention of complications.
2. Which nursing process step involves collecting patient information?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
Answer: C
Rationale: Assessment is the systematic collection of subjective and objective data.
3. Which action is an example of a nursing intervention?
A. Identifying hypertension
B. Teaching a patient how to use an incentive spirometer
C. Ordering laboratory tests
D. Diagnosing pneumonia
Answer: B
Rationale: Nursing interventions include education, monitoring, treatment, and health
promotion.
4. Evidence-based practice combines:
,A. Hospital policy only.
B. Experience only.
C. Research evidence, clinical expertise, and patient preferences.
D. Physician preference only.
Answer: C
Rationale: Evidence-based practice integrates research, clinician expertise, and patient values.
5. Which patient should the nurse assess first?
A. Stable patient requesting pain medication.
B. Patient awaiting discharge instructions.
C. Patient with difficulty breathing.
D. Patient asking for water.
Answer: C
Rationale: Airway and breathing are the highest priorities (ABC approach).
6. Which vital sign requires immediate follow-up?
A. Temperature 98.7°F (37.1°C)
B. Pulse 78 bpm
C. Respiratory rate 32/min
D. Blood pressure 122/78 mmHg
Answer: C
Rationale: Tachypnea may indicate respiratory compromise.
7. Which action demonstrates patient-centered care?
A. Making decisions without patient input.
B. Including the patient in developing the care plan.
C. Following routines regardless of preferences.
D. Limiting patient education.
Answer: B
Rationale: Patient-centered care respects patient preferences and promotes shared decision-
making.
,8. The nurse documents care primarily to:
A. Increase paperwork.
B. Protect only the hospital.
C. Communicate accurate patient information and support continuity of care.
D. Replace verbal communication.
Answer: C
Rationale: Documentation promotes communication, legal protection, and quality care.
9. Which intervention helps prevent hospital-acquired infections?
A. Wearing gloves continuously.
B. Performing hand hygiene before and after patient contact.
C. Reusing disposable equipment.
D. Avoiding patient education.
Answer: B
Rationale: Hand hygiene is the most effective infection prevention strategy.
10. Which laboratory value should the nurse review before administering insulin?
A. Hemoglobin
B. Platelet count
C. Blood glucose
D. White blood cell count
Answer: C
Rationale: Insulin administration requires verification of current blood glucose.
11. Which patient is at highest risk for falls?
A. Independent young adult
B. Stable postoperative patient
C. Older adult receiving opioid analgesics
D. Visitor in the waiting room
Answer: C
, Rationale: Age and sedating medications increase fall risk.
12. Therapeutic communication includes:
A. Giving unsolicited advice.
B. Interrupting frequently.
C. Active listening and empathy.
D. Changing the subject.
Answer: C
Rationale: Active listening helps establish trust and improve patient outcomes.
13. Which action demonstrates advocacy?
A. Ignoring patient concerns.
B. Speaking up when a prescribed treatment appears unsafe.
C. Making decisions without consultation.
D. Avoiding patient questions.
Answer: B
Rationale: Nurses advocate for patient safety and rights.
14. Which member of the healthcare team is responsible for coordinating nursing care?
A. Respiratory therapist
B. Dietitian
C. Registered Nurse (RN)
D. Pharmacist
Answer: C
Rationale: The RN coordinates and evaluates nursing care.
15. Which factor most influences individualized care?
A. Hospital routines
B. Nurse preferences
C. Patient values, needs, and health status
D. Room assignment
Medical-Surgical Nursing: Clinical Reasoning In Patient Care (6th Edition) (Medical
Surgical Nursing – Lemone) 6th Edition (all chapters 1- 50 complete) with rationale
Course
TEST BANK FOR MEDICAL SURGICAL NURSING
(MEDICALSURGICALNURSING)
1. The primary goal of medical-surgical nursing is to:
A. Perform surgical procedures independently.
B. Diagnose all diseases.
C. Promote, restore, and maintain optimal health while preventing complications.
D. Prescribe medications.
Answer: C
Rationale: Medical-surgical nurses focus on comprehensive patient care, health promotion,
disease management, and prevention of complications.
2. Which nursing process step involves collecting patient information?
A. Planning
B. Evaluation
C. Assessment
D. Implementation
Answer: C
Rationale: Assessment is the systematic collection of subjective and objective data.
3. Which action is an example of a nursing intervention?
A. Identifying hypertension
B. Teaching a patient how to use an incentive spirometer
C. Ordering laboratory tests
D. Diagnosing pneumonia
Answer: B
Rationale: Nursing interventions include education, monitoring, treatment, and health
promotion.
4. Evidence-based practice combines:
,A. Hospital policy only.
B. Experience only.
C. Research evidence, clinical expertise, and patient preferences.
D. Physician preference only.
Answer: C
Rationale: Evidence-based practice integrates research, clinician expertise, and patient values.
5. Which patient should the nurse assess first?
A. Stable patient requesting pain medication.
B. Patient awaiting discharge instructions.
C. Patient with difficulty breathing.
D. Patient asking for water.
Answer: C
Rationale: Airway and breathing are the highest priorities (ABC approach).
6. Which vital sign requires immediate follow-up?
A. Temperature 98.7°F (37.1°C)
B. Pulse 78 bpm
C. Respiratory rate 32/min
D. Blood pressure 122/78 mmHg
Answer: C
Rationale: Tachypnea may indicate respiratory compromise.
7. Which action demonstrates patient-centered care?
A. Making decisions without patient input.
B. Including the patient in developing the care plan.
C. Following routines regardless of preferences.
D. Limiting patient education.
Answer: B
Rationale: Patient-centered care respects patient preferences and promotes shared decision-
making.
,8. The nurse documents care primarily to:
A. Increase paperwork.
B. Protect only the hospital.
C. Communicate accurate patient information and support continuity of care.
D. Replace verbal communication.
Answer: C
Rationale: Documentation promotes communication, legal protection, and quality care.
9. Which intervention helps prevent hospital-acquired infections?
A. Wearing gloves continuously.
B. Performing hand hygiene before and after patient contact.
C. Reusing disposable equipment.
D. Avoiding patient education.
Answer: B
Rationale: Hand hygiene is the most effective infection prevention strategy.
10. Which laboratory value should the nurse review before administering insulin?
A. Hemoglobin
B. Platelet count
C. Blood glucose
D. White blood cell count
Answer: C
Rationale: Insulin administration requires verification of current blood glucose.
11. Which patient is at highest risk for falls?
A. Independent young adult
B. Stable postoperative patient
C. Older adult receiving opioid analgesics
D. Visitor in the waiting room
Answer: C
, Rationale: Age and sedating medications increase fall risk.
12. Therapeutic communication includes:
A. Giving unsolicited advice.
B. Interrupting frequently.
C. Active listening and empathy.
D. Changing the subject.
Answer: C
Rationale: Active listening helps establish trust and improve patient outcomes.
13. Which action demonstrates advocacy?
A. Ignoring patient concerns.
B. Speaking up when a prescribed treatment appears unsafe.
C. Making decisions without consultation.
D. Avoiding patient questions.
Answer: B
Rationale: Nurses advocate for patient safety and rights.
14. Which member of the healthcare team is responsible for coordinating nursing care?
A. Respiratory therapist
B. Dietitian
C. Registered Nurse (RN)
D. Pharmacist
Answer: C
Rationale: The RN coordinates and evaluates nursing care.
15. Which factor most influences individualized care?
A. Hospital routines
B. Nurse preferences
C. Patient values, needs, and health status
D. Room assignment
